[英伦广角] 2015-04-25 研究：摄入过多维生素伤身

 Let's return to that issue of vitamins. It's got you going on Twitter this morning. Would you give your child vitamins under 5? England's chief medical officer says you should, because rickets 1 is on the rise. So let's find out more, from GP Dr. Ali Kallon. Good to see you, Ali, as always look. Is this a growing issue?-It is, absolutely. I mean certainly in my practice, a vast number of patients, both adults and children, have vitamin D deficiency, which is related to their diet and related to how much time they spend outside. We know vitamin D deficiency causes rickets. It also cuases tiredness and bone pain, so it's very, very important.

-We've had a huge amount of comments on this this moring, actually. And not a lot of people are saying, like r*, feed your child properly is disgraceful, and he says vitamin shouldn't be needed, if we have a better diet. He also makes the point about the cost of, you know, healthy food, things like fruit and vegetables. But, you know, is it right that we're giving our children these tablets when actually their diet should be, giving them everything they need?
-I think the first thing to say about vitamin D is that acutally you only get 20 percent from diet, so most of it comes from our sun exposure, which, as we all know, in this country is pretty lacking. Add on top of that sunblock and even less, so obviously the use of the sunblock is much more widespread than it used to be. Of course, we need to be feeding our children fruit and vegetables and healthy diets, but at the end of the day, children's diet over the last two decades is changed measurably. Children don't eat smaller portions of what their parents eat. They sort of eat child's meals and all these other things. So, you know, we have to acknowledge that we can't just blame parents as to say, you need to feed your children better. There's huge amounts of child-friendly food around, and this is really marketed towards parents and kids. You can't criticize parents for taking them on. 
-But within all of this, when specialist comes, 'cause there are so many problems, obesity 2, lack of exercise, generally poor diets. This sort of supplement, is it just a sticking plaster of a bigger, sort of, endemic problem with these *?
-I think in some ways, it's a sticking plaster, but I think that you can't get really enough vitamin D, if you gonna put some sunblock on our children to protect them. We don't take them how-to enough. You do have to, you know, give them supplement. She does bring us other things in her report to do with obesity, to do with the exercise our kids do. Also I'm really pleased to see there's a concentration of children's mental health, as well. 
-The energy has actually strained, we know that. You know that, but the most of us. What sort of cost could be? I mean if all under-5 is gonna get free vitamin D, what sort of strange as that resulted?
-Well, she says, her report shows this is all cause-and-effective, and it's gonna be looked up by nice as the drugs regulation body, and actually will be shown in the long term to be cause-effective, because children won't be developing rickets. 
-We'll keep you thoughts coming through this morning. We have Sky Steven at Sky Chalotte uses skynews.com. Look, a girl asks you. Dr. Ali, we've got the new boss of NHS England, coming on the ** this morning. Your GP, your working GP, what is the one thing you'd want to ask them or say to them, under the current strains and situations you find yourself in?
-How is she going to improve patients access to GP services, because my patients cannot get in to see me? And it's not because I'm sitting here. It's because there actually aren't enough appointments all the patients that we have. 
-And to your mind, what should the answer be?
-The answer should be a massive increase in the number of GPs, number of GP training and far far more resources put into primary care. 
-Brilliant, Ali, we should see what you say is a little bit strong. Good to see you this morning.
-Thank you.
-I want you to ask that question as well, because we always have these problems.
-I know exactlly.
-You can't see your GP.
-It is a nightmare. There is no doubt about it.